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<br />I <br />::E::R::E &~~ ~ ~:~~ ~~l :; <br /> <br />'I" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />to I{I If)) <br />DATE RECEIVED~ <br />PLANS REVIEW FEE <br /> <br />c 1\ ~. t'Jt/- <br /> <br />PHONE ;?f~.. yo~ <?7S-/ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # '1..~t..-.).I",OI.;JO <br /> <br />- <br /> <br /> <br /> <br />~ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCT <br /> <br />o DEMOLI SH <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />TAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />P MECHANICAL $ <br />o GAS 0 ROOFING <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />LqB ~ <br /> <br />HEIGHT <br /> <br />ATTACH (2) PLOT FLANS & {2} SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & {l} SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />jQ FLORIDA POWER <br /> <br />W.R.E.C. <br /> <br />o <br /> <br />VALUATION OF MECHANCIAL INSTALLATION :it ,)0'( q <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ B-LOC <br />FINISHED FLOOR ELEVAT~ONS <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES"K NO <br /> <br />*!* * * * * * * * ** * * * * * * * * * * * * ** * * ** * * * * * * * ** * * ** ** * * * * * * <br /> <br />COMPANy_F:~1 Cl6-~< EJe.e. <br />STATE CERT OR REGIST # ~c. OOO3'S:TO <br />CITY PROCESSING ~*& <br /> <br />****** ******** <br /> <br />********************************************* <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****** ****.**** <br /> <br />****************************~****************** <br />COMPANY ny} <br />STATE CERT OR REGIST # €-I1\. oot~J <br />CITY PROCESSING # <br /> <br /> <br />************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************************ <br />